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A male baby is born with scant amounts of vernix caseosa in his axillae and groin, scant amounts of lanugo on his shoulders, testes in his scrotum, and a strong suck. The nurse would estimate that the baby is which of the following gestational ages?
- A. 22 weeks.
- B. 28 weeks.
- C. 32 weeks.
- D. 38 weeks.
Correct Answer: D
Rationale: These characteristics (scant vernix, scant lanugo, descended testes, and strong suck) are typical of a full-term baby around 38 weeks.
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A pregnant woman is complaining of ptyalism. The nurse should teach the woman to try which of the following self-care measures?
- A. Use an astringent mouthwash.
- B. Elevate her legs frequently.
- C. Eat high-fiber foods.
- D. Void when the urge is felt.
Correct Answer: A
Rationale: Ptyalism, or excessive salivation, can be managed with astringent mouthwash to reduce saliva production.
A patient in her third trimester of pregnancy is asking about safe travel. Which statement should the nurse provide regarding safe travel during pregnancy?
- A. Only travel by car during pregnancy.'
- B. Avoid use of the seat belt during the third trimester.'
- C. You can travel by plane until your 38th week of gestation.'
- D. If you are traveling by car stop to walk every 1 to 2 hours.'
Correct Answer: D
Rationale: The correct answer is D: "If you are traveling by car, stop to walk every 1 to 2 hours." This is the best advice because it promotes circulation and reduces the risk of blood clots during long car rides. Walking helps prevent stiffness and discomfort.
A: "Only travel by car during pregnancy" is incorrect because other modes of transportation can be safe as well.
B: "Avoid use of the seat belt during the third trimester" is incorrect as wearing a seat belt is crucial for the safety of both the mother and the baby in case of an accident.
C: "You can travel by plane until your 38th week of gestation" is incorrect as most airlines have restrictions on flying after 36 weeks due to the risk of preterm labor.
A school nurse is discussing the male reproductive system with the students in a high school health class. Which of the following information about the hormone testosterone should be included in the discussion?
- A. Testosterone is what makes boys more muscular than girls.'
- B. The level of testosterone in boys changes every month like female hormones do.'
- C. Testosterone is produced by the male prostate gland.'
- D. The production of testosterone usually stops by the time a man is fifty years old.'
Correct Answer: A
Rationale: Testosterone is responsible for the development of male secondary sexual characteristics, including increased muscle mass.
A baby is exhibiting signs of neonatal abstinence syndrome. Which action would be appropriate for the nursery nurse to make?
- A. Cover the baby with at least two blankets.
- B. Stimulate the baby with rattles.
- C. Play soft classical music in the nursery.
- D. Attach a mobile to the crib.
Correct Answer: A
Rationale: Neonatal abstinence syndrome babies are sensitive to stimuli, so minimizing environmental stimulation, such as by swaddling, is important.
What patient symptom at 10 weeks of gestation requires further investigation by the nurse?
- A. breast tenderness
- B. infrequent nausea
- C. change in appetite
- D. weight loss
Correct Answer: D
Rationale: The correct answer is D: weight loss. At 10 weeks of gestation, weight loss is concerning as it may indicate potential issues like hyperemesis gravidarum or inadequate nutrition, posing risks to both the mother and fetus. Breast tenderness (A), infrequent nausea (B), and changes in appetite (C) are common symptoms during early pregnancy and may not necessarily indicate serious problems. Weight loss (D) should be investigated promptly to ensure the well-being of both the mother and the developing baby.